How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $100.00 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $22.39 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $79.43 | $97.72 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $346.74 | Facility | None | $190.55 | $251.19 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $27.54 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $27.54 | $85.11 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $426.58 | Facility | None | $120.23 | $257.04 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $85.11 | $104.71 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $81.28 | $114.82 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $389.05 | Facility | None | $107.15 | $123.03 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $870.96 | Professional | None (both parts) | $104.71 | $154.88 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $67.61 Typical High $194.98 | Professional | 26 · Professional part | $26.30 | $67.61 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $79.43 | $223.87 | $691.83 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $100.00 | $120.23 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $28.18 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $91.20 | $131.83 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $20.42 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $81.28 | $81.28 | $89.13 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 43rd of 51
$123
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.